But Rep. Tim Huelskamp (R-Kansas) is amped up about attempt number 42. He and other Tea Party lawmakers in the House are pushing GOP leaders to tie a vote to defund the Affordable Care Act to a must-pass, temporary spending bill aimed at keeping the government funded past Oct. 1, when current funding runs out. The effort has been a serious headache for GOP leaders, who want to appease their Tea Party flank but don't want to risk a government shutdown.

Huelskamp was excited this week as he talked to reporters about the latest strategy for killing Obamacare.

"None of the other votes were on must-pass bills. They were on individual bills," he told The Huffington Post, comparing the House's past attempts to sink Obamacare to baseball. "We've had 42 different swings at the bat. Forty-two different exhibition games. But we've never actually had a regular season."

Huelskamp told HuffPost things will be different this time because the legislative vehicle being used gives repeal proponents more leverage.

"We haven't had it on the C.R. yet," he said, referring to the temporary spending measure, known as a continuing resolution. "We have 85 who say they want a vote on this."

House Republican leaders have the rest of the month to come up with some way to keep their party together without bringing the government to a screeching halt. Either way, Senate Democratic leaders said Thursday the only thing they'll allow through their chamber is a clean bill to keep the government running. No Obamacare provisions.

"They know we will not repeal Obamacare. We have the high ground," said Sen. Charles Schumer (D-N.Y.), chairman of the Senate Democratic Policy and Communications Center.

"If we say to them, 'We dare you, shut down the government unless you repeal Obamacare, we dare you, risk the full faith and credit of the United States until we end Obamacare,' they will lose," he said. "That's the dilemma."

Asked what the next step will be if the Senate refuses to budge on its demand for a clean spending bill, Huelskamp said he didn't have a specific plan yet.

Tim Huelskamp Explains Why 42nd House Vote To Repeal Obamacare Will Be Better Than The Previous 41

Lies And Distortions Of The Health Care Debate

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Healthcare In America Is Already 'The Best In The World'

One of the more positive sounding admonitions from health care reform opponents was that the United States had "the best health care in the world," so why would you mess with it? Well, it's true that if you want the experience the pinnacle of medical care, you come to the United States. And if you want the pinnacle of haute cuisine, you go to Per Se. If you want the pinnacle of commercial air travel, you get a first class seat on British Airways. Now, naturally, you wouldn't let just anyone mess with someone's tasting menu or state-of-the-art air-beds. But like anything that's "the best," the best health care in the world isn't for everybody. The costs are prohibitively high, the access is prohibitively exclusive, and the resources are prohibitively scarce.
What do the people in America who "fly coach" in the health care system get? Well, at the time of the health care reform debate, they were participating in a system that was, by all objective measurements, <a href="https://www.huffpost.com/entry/us-health-care-expensive_n_624248">overpriced and underperforming</a> -- if you were lucky enough to be participating in it. As anyone who's fortunate enough to have employer based health care or unfortunate enough to have a pre-existing condition can tell you, health care for ordinary people already involved all of those things that we were told would be a feature of the Affordable Care Act -- long waits, limited choice, and rationing.
When the <a href="http://www.commonwealthfund.org/Content/Publications/Fund-Reports/2010/Jun/Mirror-Mirror-Update.aspx">Commonwealth Fund rated health care systems by nation</a>, the top marks in the surveyed categories went to the United Kingdom, New Zealand and the Netherlands. Ezra Klein examined the study, and <a href="http://voices.washingtonpost.com/ezra-klein/2010/06/us_health-care_system_still_ba.html">observed</a>:
"The issue isn't just that we don't have universal health care. Our delivery system underperforms, too. 'Even when access and equity measures are not considered, the U.S. ranks behind most of the other countries on most measures. With the inclusion of primary care physician survey data in the analysis, it is apparent that the U.S. is lagging in adoption of national policies that promote primary care, quality improvement, and information technology.'"